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My Services

Gastroesophageal Reflux Management & Positioning

  • Determining the affect on feeding, sleeping & comfort of the infant

  • Strategies for the caregiver

  • Collaborating with the pediatrician, gastroenterologist, nutritionist and other medical professionals.

Feeding Evaluation & Treatment
(0-6 months)

​The 2 hour evaluation includes a thorough medical history, developmental screening, and hands on examination addressing:

  • Oral-motor/sensory issues affecting functional feeding, including any anatomic, muscular & tethered oral restrictions affecting the smooth coordination of swallowing 

  • Safety of swallowing with breastfeeding or bottle feeding

  • Develop strategies to support safe feeding for both baby and caregivers including: swallowing, lip closure and babbling

  • Pre-post weight check for breastfeeding

  • Address bottle nipple flow rate, positioning, paced feeding, and external oral support

  • Assess for breast and bottle feeding aversion

  • Oral motor excercises to develop strength and control needed for feeding

  • Collaboration with other professionals to coordinate a comprehensive feeing program that promotes appropriate weight gain and fosters a positive feeding experience

Frequently Asked Questions

What insurance companies do you accept?

I accept and bill most insurance companies. Private pay is accepted and a (superbill) will be provided upon request.

What states are you licensed in?

Do I need a referral for Occupational Therapy?

What is your follow up procedure?

I am Board Certified and licensed in the state of Washington.

Occupational Therapy does not require a physician's referral, however, the primary care physician needs to be a primary member of the feeding team to assure coordination of care. Some insurance require a referral. Always check with your insurance company first.

After the 2 hour evaluation, a follow-up phone call will be scheduled within 7-10 days to review your progress. Additional appointments will then be arranged to update the home program and conduct further assessments as required.

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